198012970-4-19-2024-54-CC-JESA-D4GV57-20240419160727

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198012970
Report Date: 04/19/2024
Date Signed: 04/19/2024 04:07:45 PM

Document Has Been Signed on 04/19/2024 04:07 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	BARRETO FAMILY CHILD CARE		FACILITY NUMBER:	198012970
ADMINISTRATOR/ DIRECTOR:	BARRETO, ESPERANZA MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 272-8023
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90712
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 5	CENSUS: 1	DATE:	04/19/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:40 PM
MET WITH:	Licensee Esperanza Barreto		TIME VISIT/ INSPECTION COMPLETED:	04:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs) Jeanette Estrada and Jonnisha Culbert conducted an unannounced annual/random inspection at the above facility. LPAs met with Licensee Esperanza Barreto and informed her of the purpose for the visit. LPA provided Licensee with a copy of the Facility Entrance Checklist. Upon arrival there was one child in care. A second child arrived at approximately 3:00 PM. All residents were noted and verified. All criminal record clearances for adults present were verified. Facility provides care to children ages 2 to 5 years old. The facility operates Monday through Friday 7 AM to 6:00 PM.This is a 3 bedroom, 2 bathroom home with a living room, den, kitchen, garage and enclosed backyard. Per Licensee areas on limits to children are: The den next to the kitchen, the hallway bathroom and the enclosed backyard. Per Licensee areas off limits to children are: 3 bedrooms, one bathroom, the kitchen, living room and dining room. Children enter through the front door and are guided to the den by the licensee. There is a safety gate separating the kitchen and the den. All areas that are accessible to children were inspected for safety, comfort, and cleanliness. The following was observed and reviewed during this inspection: LPA observed required posted documentation- Facility license, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. Licensee has not completed a disaster drill. There is an operable carbon monoxide and a smoke detector in the facility. LPA observed a 2A10BC Fire Extinguisher in the facility which indicated full and per Licensee was purchased in 2022. Per Licensee, fire extinguisher has not been serviced. The home has central air and heating. The home maintains telephone service (cell phone). Food is provided by Licensee. Licensee was reminded if children bring food from home it must be labeled with the child’s name and properly stored or refrigerated. There are toys and other age appropriate materials available for children to use in the den. Sharp objects, detergents and cleaning compounds in the kitchen were inaccessible to children in care. Knives are kept in the off limits kitchen in a latched drawer. Cleaning compounds are kept in an upper cabinet and in the garage. Personal medication is kept in a latched cabinet. Detergent is kept in the garage. Per Licensee no children enrolled require medication.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/19/2024 04:07 PM - It Cannot Be Edited

Created By: Jeanette Estrada On 04/19/2024 at 02:51 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BARRETO FAMILY CHILD CARE	FACILITY NUMBER: 198012970
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102417(g)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed a water fountain in the on limits outdoor area. Water fountain was observed to be running and filled with water during the inspection which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 04/20/2024
	Plan of Correction
1 2 3 4	LPAs observed Licensee turn off the water fountain. Declaration will be submitted stating fountain will not be in use during hours of operation.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Valarie Cook

LICENSING EVALUATOR NAME:

Jeanette Estrada

LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

LIC809 (FAS) - (06/04)

Page: 2 of 8

Document Has Been Signed on 04/19/2024 04:07 PM - It Cannot Be Edited

Created By: Jeanette Estrada On 04/19/2024 at 02:51 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BARRETO FAMILY CHILD CARE	FACILITY NUMBER: 198012970
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(1)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. Per Licensee, fire extinguisher was purchased in 2022 and has not been professionally serviced which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/29/2024
	Plan of Correction
1 2 3 4	Licensee will have fire extinguisher serviced or will purchase a new one and provide proof of purchase. If serviced, proof of service will be submitted by due date.

Type B

Section Cited

CCR

102417(g)(9)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, the licensee did not comply with the section cited above. Per Licensee, a disaster drill has not been completed which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/29/2024
	Plan of Correction
1 2 3 4	Licensee will conduct and document disaster drill with children in care. Proof of documentation will be submitted by due date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Valarie Cook

LICENSING EVALUATOR NAME:

Jeanette Estrada

LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BARRETO FAMILY CHILD CARE	FACILITY NUMBER: 198012970
	VISIT DATE: 04/19/2024

NARRATIVE

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Children use the bathroom in the hallway. Licensee stated she guides the children to the bathroom. Personal hygiene items are kept in a latched cabinet under the sink. Per Licensee, a section of the den is used as the isolation area in case a child becomes ill and is waiting to be picked up. Children use a section of the backyard for outdoor play. Per Licensee, children are supervised while playing outside. At approximately 1:58 PM while touring the on limits outdoor area, LPAs observed a decorative water fountain. LPAs observed fountain to be running and filled with about 2 gallons of water. This poses an immediate risk to the safety of children in care. Licensee turned off the fountain during the inspection. No children were observed playing outside at this time. Per Licensee, children have not used the outdoor area in the last few weeks due to the weather. Licensee was advised no bodies of water shall be accessible to children in care.
LPAs observed insect poison (RAID) in an upper cabinet. Cabinet is out of reach from children and made inaccessible by the gate in the kitchen. Licensee was advised that all poisons must be locked, not only inaccessible to children. Licensee moved items to locked garage. Per Licensee, there are no firearms or weapons stored in the home. There are no pools or spas, or other bodies of water. There is a pet dog in the home.
Overnight Care: There is no overnight care provided. LPA discussed the following in case overnight care is provided: Licensee is aware that they must remain wake while children are awake. If children sleep in separate area from licensee, the door must remain open. If licensee cannot hear children when they wake up, video or audio device can be used.
Children’s records were reviewed and are complete.
Licensee's records are complete. EMSA approved pediatric first aid/ cpr expires 9/20/24, Mandated reporter expires 11/28/24.
During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment Currently Licensee does not have infants enrolled. LPA discussed the safe sleep regulations with the Licensee and discussed the child care licensing safe sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BARRETO FAMILY CHILD CARE	FACILITY NUMBER: 198012970
	VISIT DATE: 04/19/2024

NARRATIVE

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LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a plan for providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Center and the ADA, available at: http://www.ada.gov/childqanda.htm
Licensee was informed of the Mychildcareplan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and resource and referral agencies (R&Rs) throughout California.
During the exit interview, the Licensee Esperanza Barreto, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO in FAS.

California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099D

A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

A notice of Site Visit was given and must remain posted for 30 days. Appeal rights were provided.
Exit interview conducted and report was reviewed with the Licensee, Esperanza Barreto.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

LIC809 (FAS) - (06/04)

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